Individual
MR. ROMAN MOCHYLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
24725 102ND PL SE, KENT, WA 98030-5185
(206) 304-0262
(253) 277-0062
Mailing address
24725 102ND PL SE, KENT, WA 98030-5185
(206) 304-0262
(253) 277-0062
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
756703
WA
Other
Enumeration date
06/29/2024
Last updated
07/04/2024
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